Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.82 / $953.25 / $2,000.70	Facility		$448.82	$953.25	$2,000.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.72 / $124.99 / $650.40	Facility	26	$64.72	$124.99	$650.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $254.66 / $372.74	Professional		$173.95	$254.66	$372.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.65 / $70.64 / $138.35	Professional	26	$62.65	$70.64	$138.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.63 / $183.15 / $246.16	Professional	TC	$116.63	$183.15	$246.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $186.95 / $193.63	Professional		$141.88	$186.95	$193.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.04 / $71.78 / $156.38	Professional	26	$50.04	$71.78	$156.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.49 / $83.49 / $88.71	Professional	TC	$83.49	$83.49	$88.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $311.00 / $311.00	Professional		$311.00	$311.00	$311.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.38 / $410.84 / $735.12	Facility		$233.38	$410.84	$735.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $311.18 / $432.35	Professional		$192.50	$311.18	$432.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $100.30 / $171.18	Professional	26	$71.31	$100.30	$171.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.51 / $201.35 / $283.39	Professional	TC	$135.51	$201.35	$283.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.09	Professional		$32.34	$32.34	$97.09
United Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $238.98 / $560.00	Professional		$184.15	$238.98	$560.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.56 / $80.31 / $209.28	Professional	26	$61.56	$80.31	$209.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.53 / $171.66 / $391.68	Professional	TC	$116.53	$171.66	$391.68